Summary
Overview
Work History
Education
Skills
Timeline
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FRANCHESKA RIVAS

Lawrenceville,GA

Summary

Knowledgeable and dedicated bilingual customer service professional with extensive experience in the customer care industry, passionate about promoting lasting customer satisfaction by delivering quality service and unparalleled support, proficient in customer service best practices and related options.

Overview

11
11
years of professional experience

Work History

Health Advisor Collector

Aliera Healthcare
04.2020 - 05.2024
  • Recorded daily all payments made by customers, Initiated collections proceedings for past due accounts older than six months
  • Reached out to approximately 150 account holders daily
  • Have strong computer and telephone multitasking skills including the ability to effectively search for and type information on computer, navigate through multiple windows and screens quickly, and inputting information accurately while keeping pace with the call
  • Provided information such as copay and premium details, pre-approval procedures and available products
  • Maintained full and current understanding of available plans, products and services

Claims Adjuster Specialist

Assurant
Atlanta, GA
08.2018 - 03.2020
  • Followed up with customers on unresolved issues
  • Worked with claims adjusters and examiners to expedite processing in alignment with procedures
  • Modeled exceptional customer service skills and appropriate diagnostic sales techniques to team members
  • Examined claims forms and other records to determine insurance coverage
  • Verified accuracy homeowner’s policy to maintain accuracy of records database

Front Office Manager

Injury Health
Duluth, GA
08.2013 - 11.2017
  • Schedule and plan recurring weekly tasks and appointments.
    • Maintain trusting relationships with the doctor, his patients
    • Perform receptionist and front office duties and back office duties as needed.
  • Verified insurance coverage for appointments and collected co-payments as required.
  • Scheduled patient appointments, verifying accuracy of appointment times with providers.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.
  • Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel

Education

Some College (No Degree) - Nursing

Strayer University
Atlanta, GA

Skills

  • SAP Advanced
  • Complaint resolution
  • Customer Relations
  • Business Development
  • Patient-focused care
  • Medical terminology proficiency

Timeline

Health Advisor Collector

Aliera Healthcare
04.2020 - 05.2024

Claims Adjuster Specialist

Assurant
08.2018 - 03.2020

Front Office Manager

Injury Health
08.2013 - 11.2017

Some College (No Degree) - Nursing

Strayer University

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FRANCHESKA RIVAS